The Comparative Study of ?Combined Lumbar Plexus Block and Low Dose Epidural Anesthesia? With ?Epidural Anesthesia? for Surgeries Involving of Upper 1/3rd of Femur

Combining epidural anaesthesia along with lumbar plexus block provides effective anaesthesia for operative procedure. It takes care of sparing of lateral cutaneous nerve distribution area, sacral plexus distribution area. Also provides anesthesia for other limb, facilitates patients positioning. Due to epidural supplementation we can avoid sedatives and opioid supplementation during and after surgery with stable hemodynamic profile. This study suggests that the combined lumbar plexus block and low dose epidural anaesthesia is a beneficial alternative to existing anaesthesia techniques for high risk elderly patients for surgeries of fractures of upper 1/3rd femur. Further larger scale studies will reveal potential benefits of this regional anaesthesia technique The results of this prospective, randomized study demonstrated that combined lumbar plexus block and low dose epidural anaesthesia is a novel technique of providing effective intraoperative anaesthesia and postoperative analgesia.